what is the icd-10 code for diagnostic mammogram

by Janice Ritchie 4 min read

Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM
ICD-10-CM
ICD-10-CM is a clinical modification of the World Health Organization's ICD-10, which consists of a diagnostic system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostic specificity. It also provides code titles and language that complement accepted clinical practice.
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code assigned is the reason the diagnostic mammogram was performed.
Mar 13, 2019

Full Answer

Where can one find ICD 10 diagnosis codes?

Search the full ICD-10 catalog by:

  • Code
  • Code Descriptions
  • Clinical Terms or Synonyms

How many codes in ICD 10?

The following are USSD codes that I use with my Android OS Mobile:-

  • *#06# - This USSD command displays the IMEI
  • *#12580*369# - This USSD command displays the SW and HW information
  • *#2222# - This USSD code displays the HW version

What are the new ICD 10 codes?

  • M35.00 (Sjogren syndrome, unspecified)
  • M35.01 (Sjogren syndrome with keratoconjunctivitis)
  • M35.02 (Sjogren syndrome with lung involvement)
  • M35.03 (Sjogren syndrome with myopathy)
  • M35.04 (Sjogren syndrome with tubulo-interstitial nephropathy)
  • M35.05 (Sjogren syndrome with inflammatory arthritis)

More items...

What is the ICD 10 diagnosis code for?

Disclosures: Kuwahara reports serving as a CMS fellow and previously served as a fellow at the Association of Asian Pacific Community Health Organizations. Disclosures: Kuwahara reports serving as a CMS fellow and previously served as a fellow at the Association of Asian Pacific Community Health Organizations.

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What ICD 10 code covers diagnostic mammogram?

Group 277065, 77066 For diagnostic mammography and screening mammography that converts to diagnostic mammography (codes 77065, 77066, or G0279)Use ICD-10-CM code N64.89 for hematoma.ICD-10-CM codes Z85. 831, Z85. 89, or Z98. 86 may be reported only until clinical stability has been established.

What is the diagnosis code for a diagnostic mammogram?

31: Encounter for screening mammogram for malignant neoplasm of breast.

Is Z12 31 preventive or diagnostic?

The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.

What is the ICD-10 for breast ultrasound?

ICD-10 code R92. 8 for Other abnormal and inconclusive findings on diagnostic imaging of breast is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

Can you have a mammogram with an ICD?

NOTE: Mammograms will not interfere with your ICD or S-ICD. However, your device could be damaged if it gets compressed in the mammogram machine. Make sure the doctor or technician knows you have an implanted device.

What is the procedural code for diagnostic mammogram of both breasts?

Women with a personal history of cancer can have their routine annual 3D mammogram performed as a diagnostic or a screening examination. Most CEM is done as part of research studies at this time. In centers offering clinical CEM, billing is often under CPT code 77065 (one breast) or 77066 (both breasts).

What is the difference between Z12 31 and Z12 39?

Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.

What does diagnosis Z12 31 mean?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12.

What does code Z12 11 mean?

A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.

What is the ICD 10 code for breast mass?

N63. 0 - Unspecified lump in unspecified breast | ICD-10-CM.

What is the CPT code for a mammogram?

CPT® 77067, Under Breast, Mammography The Current Procedural Terminology (CPT®) code 77067 as maintained by American Medical Association, is a medical procedural code under the range - Breast, Mammography.

What is the difference between Z12 31 and Z12 39?

Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.

What is DX code Z12 11?

Z12. 11: Encounter for screening for malignant neoplasm of the colon.

What is difference between screening mammogram and diagnostic mammogram?

Screening mammograms are annual preventive exams, while a doctor may order a diagnostic mammogram based on any signs of breast cancer symptoms. A diagnostic mammogram is more detailed than a screening mammogram. A screening mammogram only takes about 10 to 20 minutes, while a diagnostic mammogram can be longer.

What does diagnosis code Z12 39 mean?

39 Encounter for other screening for malignant neoplasm of breast.

When Is Mammography recommended?

Screening mammography is recommended for women age 40 and older every one to two years and younger than 40 years of age when the patient has increa...

CPT/HCPCS Coding For Screening Mammograms

Insurance companies follow the above recommendations as well and set guidelines that allow payment at 100% of allowable fee schedule for a screenin...

ICD-9-CM Codes For Screening Mammography

Proper reporting of ICD-9-CM codes informs the insurance company the service was for screening mammography. If incorrectly billed, the claim may be...

Publish This Article on Your Website, Blog Or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be act...

What does "type 1 excludes note" mean?

It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z12.31. A type 1 excludes note is for used for when two conditions cannot occur together , such as a congenital form versus an acquired form of the same condition. inconclusive mammogram (.

What is screening for asymptomatic disease?

Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease. Type 1 Excludes. encounter for diagnostic examination-code to sign or symptom. Use Additional.

What is a Z00-Z99?

Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

Why is mammogram not recommended for women?

In general, screening mammograms are not recommended for women under 40 years of age, in part because breast tissue tends to be more dense in younger women, making mammograms as a screening tool less effective.

What is CAD in radiology?

CAD: Computer-Aided Detection (CAD) is a computer-based process that is used in conjunction with digital mammography to analyze mammographic images and identify suspicious areas by marking them and bringing them to the radiologist's attention.

What is mammography screening?

Screening Mammography: Screenings are performed on otherwise healthy individuals to look for cancer or precursors to cancer of the breasts.

What is a diagnostic mammogram?

Diagnostic Mammography: Diagnostic mammography includes additional x-ray views of each breast, taken from different angles and if performed digitally, may be manipulated, enlarged, or enhanced for better visualization of the abnormality found during screening mammography.

When to report modifier 52?

As a screening mammogram is inherently bilateral in nature, report modifier -52 when screening mammogram is performed on a patient with a history of mastectomy where only one breast is imaged.

What is the technique that technicians should be trained in that allows them to better visualize breast tissue surrounding the implants called?

There is a technique that technicians should be trained in that allows them to better visualize breast tissue surrounding the implants called 'implant displacement views .'. Patients with implants after mastectomy should have orders that clarify if the physician wants the reconstructed breast to be screened as well.

What is the report code for breast cancer?

Report code V76.12 (Screening for malignant neoplasms, other screening mammogram) for all other screening mammography. If the patient has a personal history of breast cancer, has completed active treatment and is back to annual mammographic screening, report V76.11.

How often does Medicare pay for mammograms?

Medicare Part B covers a screening mammogram once every 12 months for female beneficiaries 40 and older . From a scheduling perspective, that means 11 full months need to have passed since the previous screening. Part B also will pay for one baseline screening for a female beneficiary between the ages of 35 to 39.

Is mammography covered by Medicare?

According to Medicare’s NCD, diagnostic mammography is covered for male or female beneficiaries meeting one or more of these conditions: Breast disease signs or symptoms. Personal history of breast cancer. A patient history or other factors the physician judges to make the mammogram appropriate.

Who is Deborah Marsh?

Deborah Marsh, JD, MA, CPC, CHONC, has explored the ins and outs of multiple specialties, particularly radiology, cardiology, and oncology. She also has assisted with developing online medical coding tools designed to get accurate data to coders faster. Deborah received her Certified Professional Coder (CPC) certification from AAPC in 2004 and her Certified Hematology and Oncology Coder (CHONC) credential in 2010.

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